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�.AJVKNOLOG <br />TECHNOLOGY FOR TANKS <br />AND THEIR ENVIRONMENT <br />So# 1�17S'i <br />Site ����Facility # �SZ:- 51DA T F <br />..' <br />e<, <br />City/St � zip J �D <br />SUbPUmp:RedJacket,Tokheim,Gilbarco, Bennett, DresserWayne,AOSinith,BowserKeene,SouthWest,Other <br />LEAK DETECTOR Identification: <br />Red -Jacket Mod#1 16-030, PLD 2sec, Hex Head. Red-Jacket,Mod#116-017, DLD 2sec, Hex Head. <br />Red-Jacket,Mod#116-011A, DLD 5secLRound Head. Tokheim,Mod#585PM, DLD 2sec, Square Head. <br />ITa <br />NC <br />1, <br />12. <br />14. <br />15. <br />16. <br />17. <br />8. <br />9. <br />nk <br />>. <br />_Size _Product <br />Sub -pump <br />Manuf_Identification <br />LeakDetector <br />Serial <br />Number __- <br />PASS__FAI_L <br />I <br />1. <br />2. <br />3. <br />D. <br />-1%lam— <br />f rint: Certified Testers Name Certification Number <br />`-c�G /��D-Z/ <br />Certified esters Signature Certif. Expiration Date Form:LD TEST 6/90 <br />,PE <br />.. ., TANKNOLOGY CORPORATION INTERNATIONAL <br />5225 Hollister St. - Houston, TX 77040-6294 - (713) 690.82.65 - 1 (800) 888.8563 - Fax: (713) 690-22.55 <br />